Whether human nature is inherently evil or inherently good is an endless cycle that can never be debated. The reason why medicine can exist is that it can actually prove to a considerable extent that human nature is inherently good. Out of the desire to help injured companions, humans have gradually developed
Medicine. But this product that can prove that human nature is inherently good has repeatedly witnessed that human nature is inherently evil.
The head nurse's explanation was very effective. Wang Xinrui quickly accepted this reality and agreed to this treatment plan. Since Wang Lin's condition was serious and he might have MRSA infection, the critical care department quickly received him.
Isolation treatment began in the ICU.
And Sun Lien finally had the opportunity to have breakfast.
"Sold out?" Walking to the breakfast shop in front of the hospital, Sun Lien received a very bad news in frustration. At 11:20 in the morning, all the breakfast shops had sold out of stock.
After going around in a circle, Sun Lien finally solved his stomach problem in a Shaxian snack bar. Then he dragged his tired body back to the dormitory. About four hours later, he had to go back to the hospital to check Wang Lin's examination.
Result. If the result is common Staphylococcus aureus, then the subsequent treatment can be left to the rheumatology and immunology department. If it is mrsa, the patient must continue to be kept in the intensive care unit for continued treatment. In short, things may be very complicated.
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Things may be very complicated, and in order to spare enough energy to deal with complex situations, Sun Lien must go to rest immediately. The status bar can indeed work wonders in many cases, but if Sun Lien himself lacks energy, he may miss the status bar.
Tip, if you misunderstand or miss an important reminder, Sun Lien himself will feel very sorry.
However, it is very easy for people to think over and over again when they are tired and anxious. Ever since his head was stained with the pillow, Sun Lien's mind has been filled with strategies and methods for using various antibiotics.
For Wang Lin's situation, the treatment strategy should be very clear. Kidney function can be replaced by dialysis, but anti-infective treatment principles cannot be replaced. People can live without the support of dialysis without both kidneys, but they can die from infection.
Even if a person does have a pair of healthy kidneys, it will not benefit him at all.
There is no problem that anti-infective treatment takes precedence over kidney preservation. So are organ support measures in place? Is it necessary to start ecmo (extracorporeal membrane oxygenation) and crrt (continuous renal replacement therapy) now?
Although Wang Lin currently has pulmonary hemorrhage, with the support of continuous suspended red blood cell transfusion, his hemoglobin level and blood oxygen level can still be maintained at an acceptable level. Moreover, the patient's heart function is still normal, and the current situation is not
It is not urgent and there is no need to use ecmo immediately. The use of CRRT has a certain overlap with plasma replacement. Under the premise of using plasma replacement to treat patients, CRRT technology seems slightly redundant. At least before the second anti-infective treatment
, there is no need to use crrt for renal support of patients.
So does the sequence of treatment need to be modified? Does the frequency of various tests for patients need to be increased? Sun Lien turned over and over on the bed, with these questions in his mind. And before he realized it, he had already fallen asleep.
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In the dream, Sun Lien returned to the Fourth Central Hospital. He walked in the hospital in a daze, as if sleepwalking, passing by his ninth clinic, passing through the empty and dark rescue hall, and walking all the way to the operating room.
The floor he was on. Then he pushed open the closed locker door.
Hu Jia sat on the ground with her back to the door. There were a bunch of glowing colored energy-saving lamps beside her. The light shone on her face, reflecting the discoloration of her fair skin.
"Why are you here?" Sun Lien tried to move forward, but no matter how he walked, the distance between him and Hu Jia still did not change.
Hu Jia slowly turned her head, and Sun Lien could see a blue light tube in her arms. She showed a sad smile to Sun Lien, "You still found me."
"What are you talking about?" Sun Lien slowly realized that he had failed to get close to Hu Jia. He squatted down and stretched out his arms towards Hu Jia, "Come here quickly."
Hu Jia shook his head gently and whispered, "Not now."
Unreasonable depression and sadness instantly overflowed from Sun Lien's chest. He ran forward like crazy, but Hu Jia, who was holding the light tube, was getting further and further away from him.
He woke up suddenly.
Dreaming? Sun Lien rubbed his eyes and glanced at his phone. There were still twenty minutes left before the scheduled four hours of sleep.
"The number you dialed has been turned off." He called Hu Jia, but only this prompt came from the phone. Sun Lien left a message for Hu Jia on WeChat, and he got up and started to get dressed. He had to go to the hospital as soon as possible. According to
As time goes by, Wang Lin's test results will be out soon, and Hu Jia is on duty this afternoon. The phone cannot be reached, probably because she is working in the operating room.
Sun Lien got out of the dormitory in a daze and hurried to the hospital.
"You came quite early." Zhou Ce, as a nephrology doctor, has been staying in Sun Lien's treatment team since yesterday to provide professional advice. Seeing Sun Lien walk into the conference room, he raised his hand towards Sun Lien
The long can of Red Bull in his hand, "It's an enhanced version, would you like a drink? It's great to refresh yourself."
Sun Lien shook his head. The steamed dumplings with peanut butter he ate three hours ago felt difficult to digest. If he had another can of Red Bull, he would probably have a stomachache. "Have the results come out yet?"
"The PCR will take five hours to run, so we probably have to wait a while." Zhou Ce glanced at his watch and shook his head, "But the patient's indicators are up, and the hemoglobin is declining much slower than initially estimated."
"Has the plasma exchange been completed?" Sun Lien took off his black down jacket and put on the white coat hanging in the conference room. "Are there any other questions?"
"At least not yet." Zhou Ce took two more sips of Red Bull and threw the empty can into the trash can. "I'll check his urine output. If it stabilizes, maybe the subsequent immunosuppressive treatment can be started first.
It is safer to wait until the infection is completely resolved before starting immunosuppression."
Sun Lien watched Zhou Ce walk out, and he was the only one left in the entire conference room. There was still no WeChat message from Hu Jia on his phone. He was a little restless. After thinking about it, he felt more at ease asking the head nurse Hu Jing.
"Are you here?" As soon as he went out, Sun Lien met Liu Pingchuan. Vice President Liu looked obviously haggard these days. When he saw Sun Lien, he waved to him and said, "Just in time, you and me
I'm here, I have something to ask you."
The content of Vice President Liu's inquiry was of course about the patient's condition. Not only did Wang Lin's treatment require direct intervention by Liu Pingchuan, but also Yang Jianqiang, who was still pursuing his wife, and Chen Wen, who was still receiving immunosuppressive treatment.
It has to be checked by Dean Liu.
"You will write me a briefing report on the situation of these patients every day from now on." Vice President Liu is from Tongxie. He usually doesn't care about the patients. Now that he needs to personally check on the patients, he naturally has to follow the old rules and ask the patients in person every day.
Liu Pingchuan had to write down the daily treatment history of each patient. In particular, he had to indicate the reasons and effects of each treatment. These paperwork made Liu Pingchuan extremely annoying.
Although he was born in the same association, he is still a surgeon after all. It is his duty to perform ten hours of surgery, but at this age, he still has to type on the keyboard for ten hours to write medical records? No matter what the vice president said, it is unacceptable.
What a hospital leader!
Liu Pingchuan, who had been writing case records for more than ten days, finally realized that something was wrong. He wanted to let the surgical doctors under him write about the conditions of patients in other departments. He did not say anything about their professionalism. He asked those surgeons to write out records that met the requirements.
For standard cases, Liu Pingchuan had to provide guidance himself, which was really annoying.
Therefore, Dean Liu had an idea and decided to recruit Sun Lien as a young man and let him solve the troubles he had caused.
"Okay, I will write today's report as soon as possible." It is normal for Dr. Guipei to write medical records, not to mention that these three patients are all patients in Sun Lien's treatment group. He agreed wholeheartedly, and then
When he was about to turn around and leave, Dean Liu spoke again.
"Are you not in a stable mood today?" Liu Pingchuan pointed to the seat in front of him and motioned for Sun Lien to sit down. "The people in the laboratory department are still running the PCR program. Now you can't speed up the process even if you rush."
Liu Pingchuan called Sun Lien to have his own thoughts. In his opinion, Sun Lien was so anxious now that he felt that Zhao Weiguo from the laboratory department was deliberately delaying the progress of the inspection again. And what he wanted to do was to be a peacemaker.
, press down the contradiction on both sides.
With Liu Pingchuan's own position and level, let alone Zhao Weiguo, even ten or eight would not take it seriously. After all, although Zhao Liguo has some background, those who are not on the stage cannot be compared with the deputy dean after all.
Compared with second-level professors. But Sun Lien is different. Although he is a student accepted by Liu Tangchun, he is still just a trained doctor after all. Even if he becomes the leader of the diagnostic team of the newly established diagnostic center in the future, it will be overwhelming.
In other words, he was treated like a deputy director. He had to compete directly with Zhao Weiguo, and Liu Pingchuan was worried that Xiao Sun would suffer.
Sun Lien laughed twice and said nothing. He couldn't say, "I had a dream and I didn't feel good. I need to go find my girlfriend's aunt and ask about the situation." So he could only listen to Liu Pingchuan's teachings.
Liu Pingchuan was criticizing Sun Lien's nonsense when Sun Lien's cell phone suddenly shouted "Grilled gluten!" He nodded towards Dean Liu with an embarrassed look on his face, and then quickly glanced at the screen of his cell phone.
It was Hu Jia Lai’s WeChat message, “I was just undergoing surgery, is there anything wrong?”